Rudy Alberto Santillana, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

31049 Issued in TX

Practice address

3548 S Hills Ave Ste 17
Fort Worth, TX 76109-2838

Phone

(973) 951-3231

Fax

(817) 946-7646

NPI assigned

Sep 19, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Associates of Fort Worth

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1871146845
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1962652511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 BIRCHMONT LN",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762488210",
            "telephone_number": "973-951-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3548 S HILLS AVE STE 17",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761092838",
            "telephone_number": "973-951-3231",
            "fax_number": "817-946-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTILLANA",
        "first_name": "RUDY",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared W Santana, MD
• Jose Santana Jr., CST
• Andrew Santi, L.P.C.
• Claudia Alejandra Santiago, SLPA
• Edward Santiago
• Debra Santoro
• Carol Santos Morales, RN
• Jordan Santos
• Paz Cielo Santos
• Xavier Manuel Santos, MD

• Dentist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.